Individual
MICHAEL TODD PICKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, CPNP
Contact information
Practice address
6621 FANNIN ST, SIUTE A210, HOUSTON, TX 77030-2303
(832) 824-6298
Mailing address
607 BISCAYNE BEND LN, LEAGUE CITY, TX 77573-6219
(281) 554-7593
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
20020358
TX
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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